Individual
JANICE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1139 S QUEBEC AVE, TULSA, OK 74112-5207
(847) 970-0309
Mailing address
1139 S QUEBEC AVE, TULSA, OK 74112-5207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.003098
IL
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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